Provider Demographics
NPI:1013914522
Name:COMM AMBULANCE SVCS INC
Entity Type:Organization
Organization Name:COMM AMBULANCE SVCS INC
Other - Org Name:CARE, CARE EMERG MED SVCS, CARE COMMUNITY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOHN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:760-376-2271
Mailing Address - Street 1:PO BOX 2008
Mailing Address - Street 2:
Mailing Address - City:KERNVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93238-2008
Mailing Address - Country:US
Mailing Address - Phone:760-376-2271
Mailing Address - Fax:760-376-3119
Practice Address - Street 1:11345 KERNVILLE RD
Practice Address - Street 2:
Practice Address - City:KERNVILLE
Practice Address - State:CA
Practice Address - Zip Code:93238-9742
Practice Address - Country:US
Practice Address - Phone:760-376-2271
Practice Address - Fax:760-376-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1096053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ36594ZMedicaid
CAZZZ36594ZMedicaid